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American Journal of Transplantation

Cover image for Vol. 13 Issue 12

December 2013

Volume 13, Issue 12

Pages 3053–3290

  1. The AJT Report

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Minireview
    6. Original Articles
    7. Brief Communications
    8. Case Reports
    9. Reports From the CDC: MMWR
    10. Images in Transplantation
    11. Letters to the Editor
    1. You have free access to this content
      The AJT Report (pages 3053–3054)

      Sue Pondrom

      Version of Record online: 22 NOV 2013 | DOI: 10.1111/ajt.12569

      There are no benchmarks to develop a perfect staffing mix or nurse-to-patient ratio at a transplant center. This month, we take a look at the staffing challenges that often plague transplant programs. Also this month, we look at donor designation data from Donate Life America.

  2. Literature Watch

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Minireview
    6. Original Articles
    7. Brief Communications
    8. Case Reports
    9. Reports From the CDC: MMWR
    10. Images in Transplantation
    11. Letters to the Editor
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      Literature Watch Implications for transplantation (page 3055)

      David Neujahr and Jonathan S. Bromberg

      Version of Record online: 22 NOV 2013 | DOI: 10.1111/ajt.12570

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      Several new studies that utilize models of asthma relate to lung transplantation. A new avenue in the prevention of chronic lung rejection could utilize methods that toggle lung mononuclear cells toward a phenotype that induces regulatory T cells.

  3. Editorials

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Minireview
    6. Original Articles
    7. Brief Communications
    8. Case Reports
    9. Reports From the CDC: MMWR
    10. Images in Transplantation
    11. Letters to the Editor
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      IFN-γ: The Dr. Jekyll and Mr. Hyde of Immunology? (pages 3057–3058)

      C. Evaristo and M.-L. Alegre

      Version of Record online: 22 OCT 2013 | DOI: 10.1111/ajt.12468

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      Interferon-gamma affects alloresponses following corneal transplantation in opposite ways depending on donor/recipient combinations, suggesting that a closer and integrative understanding of the complex functions of this cytokine is necessary. See article by Cunnusamy and Niederkorn on page 3076.

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      Toward HLA Epitope Matching in Clinical Transplantation (pages 3059–3060)

      A. R. Tambur and F. H. J. Claas

      Version of Record online: 21 OCT 2013 | DOI: 10.1111/ajt.12485

      The authors discuss the advantage of epitope matching as a tool to prevent the induction of donor-specific HLA antibodies after transplantation and the pathway to establish the relevant epitopes. See article by Wiebe et al on page 3114.

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      Regulators With Potential: Substantiating Myeloid-Derived Suppressor Cells in Human Organ Transplantation (pages 3061–3062)

      A. W. Thomson and H. R. Turnquist

      Version of Record online: 18 SEP 2013 | DOI: 10.1111/ajt.12464

      The authors discuss the observation of Luan et al (page 3123) that circulating myeloid-derived suppressor cells able to suppress alloreactive T cell proliferation and promote regulatory T cells are enhanced during the first year posttransplant in stable kidney graft recipients.

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      Where There Is Smoke There Is Fire: The Iranian System of Paid Donation (pages 3063–3064)

      E. J. Gordon and J. S. Gill

      Version of Record online: 13 NOV 2013 | DOI: 10.1111/ajt.12486

      As Fallahzadeh et al's study (page 3210) shows that paid donors experience a compromised health status compared to unpaid donors, this editorial calls into question the rigor of the pretransplant evaluation in the Iranian model.

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      Chagas Disease in Transplantation: Time to Enter an Era of Better Diagnosis and Better Outcomes (pages 3065–3066)

      C. M. Machado

      Version of Record online: 21 OCT 2013 | DOI: 10.1111/ajt.12484

      Nucleic acid testing must be used in the diagnosis and monitoring of Chagas disease, which has become a problem in the setting of solid organ transplantation in nonendemic regions due to human migrations. See brief communication by Cura et al on page 3253.

  4. Minireview

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Minireview
    6. Original Articles
    7. Brief Communications
    8. Case Reports
    9. Reports From the CDC: MMWR
    10. Images in Transplantation
    11. Letters to the Editor
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      Emerging Role of Gasotransmitters in Renal Transplantation (pages 3067–3075)

      P. M. Snijder, E. van den Berg, M. Whiteman, S. J. L. Bakker, H. G. D. Leuvenink and H. van Goor

      Version of Record online: 30 OCT 2013 | DOI: 10.1111/ajt.12483

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      The authors review the functional significance and potential therapeutic application of nitric oxide, carbon monoxide, and hydrogen sulfide in renal transplantation.

  5. Original Articles

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Minireview
    6. Original Articles
    7. Brief Communications
    8. Case Reports
    9. Reports From the CDC: MMWR
    10. Images in Transplantation
    11. Letters to the Editor
    1. Basic Science

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      IFN-γ Blocks CD4+CD25+ Tregs and Abolishes Immune Privilege of Minor Histocompatibility Mismatched Corneal Allografts (pages 3076–3084)

      K. Cunnusamy and J. Y. Niederkorn

      Version of Record online: 1 OCT 2013 | DOI: 10.1111/ajt.12466

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      This study shows that interferon-gamma, which is normally considered a proinflammatory cytokine, is necessary for the generation of T regulatory cells and the survival of MHC-matched, minor histocompatibility-mismatched corneal allografts in mice. See editorial by Evaristo and Alegre on page 3057.

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      Inhibition of αvβ6 Promotes Acute Renal Allograft Rejection in Nonhuman Primates (pages 3085–3093)

      D. J. Lo, A. B. Farris, M. Song, F. Leopardi, D. J. Anderson, E. A. Strobert, S. Ramakrishnan, N. A. Turgeon, A. K. Mehta, B. Turnbull, B. Maroni, S. M. Violette and A. D. Kirk

      Version of Record online: 1 OCT 2013 | DOI: 10.1111/ajt.12467

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      The authors report on the use of an αvβ6 monoclonal antibody and its association with acute rejection when used in concert with calcineurin inhibitor–based immunosuppression in a nonhuman primate renal transplant model.

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      Repression of Farnesoid X Receptor Contributes to Biliary Injuries of Liver Grafts Through Disturbing Cholangiocyte Bile Acid Transport (pages 3094–3102)

      L. Cheng, F. Tian, F. Tian, L. Tang, G. Chen, Z. Luo, J. Ren and S. Wang

      Version of Record online: 21 OCT 2013 | DOI: 10.1111/ajt.12479

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      With rat liver transplant models and in vitro cultured human biliary epithelial cells, the authors demonstrate that the expression and activity of farnesoid X receptor are repressed under ischemic/hypoxic conditions, and the repression contributes to biliary epithelial damages by disturbing bile acid transporting of cholangiocytes.

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      A Comprehensive and Quantitative Analysis of the Major Specificities in Rabbit Antithymocyte Globulin Preparations (pages 3103–3113)

      I. Popow, J. Leitner, K. Grabmeier-Pfistershammer, O. Majdic, G.-J. Zlabinger, M. Kundi and P. Steinberger

      Version of Record online: 29 OCT 2013 | DOI: 10.1111/ajt.12514

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      This study provides comprehensive and quantitative information on the antibody composition of both rabbit antithymocyte globulins in clinical use, and it addresses their functional aspects.

    5. Clinical Science

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      Class II HLA Epitope Matching—A Strategy to Minimize De Novo Donor-Specific Antibody Development and Improve Outcomes (pages 3114–3122)

      C. Wiebe, D. Pochinco, T. D. Blydt-Hansen, J. Ho, P. E. Birk, M. Karpinski, A. Goldberg, L. J. Storsley, I. W. Gibson, D. N. Rush and P. W. Nickerson

      Version of Record online: 25 OCT 2013 | DOI: 10.1111/ajt.12478

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      This article provides a comprehensive evaluation of HLA Class II epitope mismatch load and epitope immunogenicity as predictors for de novo Class II donor-specific antibody development in renal transplant recipients. See editorial by Tambur and Claas on page 3059.

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      Monocytic Myeloid-Derived Suppressor Cells Accumulate in Renal Transplant Patients and Mediate CD4+Foxp3+ Treg Expansion (pages 3123–3131)

      Y. Luan, E. Mosheir, M. C. Menon, D. Wilson, C. Woytovich, J. Ochando and B. Murphy

      Version of Record online: 18 SEP 2013 | DOI: 10.1111/ajt.12461

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      The authors demonstrate that myeloid-derived suppressor cells are increased in renal transplant recipients, and they delineate the population of myeloid cells responsible with the emergence of regulatory T cells and the suppression of the alloimmune response in humans. See editorial by Thomson and Turnquist on page 3061.

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      PD-1 Analysis on CD28CD27 CD4 T Cells Allows Stimulation-Independent Assessment of CMV Viremic Episodes in Transplant Recipients (pages 3132–3141)

      J. Dirks, H. Tas, T. Schmidt, S. Kirsch, B. C. Gärtner, U. Sester and M. Sester

      Version of Record online: 22 OCT 2013 | DOI: 10.1111/ajt.12480

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      This study demonstrates that the presence of CD28- CD27- CD4 T cells is associated with a positive CMV infection status and that increased PD-1 expression on CD28- CD27- CD4 T cells correlates with CMV viremia in transplant recipients.

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      Randomized Controlled Pilot Study of B Cell–Targeted Induction Therapy in HLA Sensitized Kidney Transplant Recipients (pages 3142–3154)

      N. S. Ejaz, A. R. Shields, R. R. Alloway, B. Sadaka, A. L. Girnita, G. Mogilishetty, M. Cardi and E. S. Woodle

      Version of Record online: 13 NOV 2013 | DOI: 10.1111/ajt.12493

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      The addition of B cell/plasma cell–targeting agents (rituximab and/or bortezomib) to T cell–based induction with rabbit antithymocyte globulin in high immunologic risk renal transplant recipients has an acceptable safety and toxicity profile that warrants further exploration to determine efficacy in preventing alloantibody-mediated responses in kidney transplant recipients.

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      Planned Randomized Conversion From Tacrolimus to Sirolimus-Based Immunosuppressive Regimen in De Novo Kidney Transplant Recipients (pages 3155–3163)

      H. T. Silva Jr., C. R. Felipe, V. D. Garcia, E. D. Neto, M. A. Filho, F. L. C. Contieri, D. D. B. M. de Carvalho and J. O. M. Pestana

      Version of Record online: 30 OCT 2013 | DOI: 10.1111/ajt.12481

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      In this multicenter, randomized, open-label study, the authors show that planned conversion from tacrolimus to sirolimus 3 months after kidney transplantation was not associated with improved renal function or histological structure at 24 months.

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      Early Rehospitalization After Kidney Transplantation: Assessing Preventability and Prognosis (pages 3164–3172)

      M. Harhay, E. Lin, A. Pai, M. O. Harhay, A. Huverserian, A. Mussell, P. Abt, M. Levine, R. Bloom, J. A. Shea, A. B. Troxel and P. P. Reese

      Version of Record online: 28 OCT 2013 | DOI: 10.1111/ajt.12513

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      This single center study of early rehospitalization events after kidney transplantation demonstrates that these events are highly associated with waiting time to transplant and that only a minority of events are potentially preventable.

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      Pregnancy Outcomes for Kidney Transplant Recipients (pages 3173–3182)

      M. L. Wyld, P. A. Clayton, S. Jesudason, S. J. Chadban and S. I. Alexander

      Version of Record online: 8 OCT 2013 | DOI: 10.1111/ajt.12452

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      This study shows that babies born to mothers with renal transplants are smaller and more premature but overall have good outcomes.

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      Proposed Thresholds for Pancreatic Tissue Volume for Safe Intraportal Islet Autotransplantation After Total Pancreatectomy (pages 3183–3191)

      J. J. Wilhelm, M. D. Bellin, T. B. Dunn, A. N. Balamurugan, T. L. Pruett, D. M. Radosevich, S. Chinnakotla, S. J. Schwarzenberg, M. L. Freeman, B. J. Hering, D. E. R. Sutherland and G. J. Beilman

      Version of Record online: 21 OCT 2013 | DOI: 10.1111/ajt.12482

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      This study describes an analysis of major risk factors that influence complications due to islet autotransplantation following total pancreatectomy and recommends thresholds for tissue volume infusion and changes in portal pressure.

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      Impact of Cytokine Expression in the Pre-Implanted Donor Lung on the Development of Chronic Lung Allograft Dysfunction Subtypes (pages 3192–3201)

      T. Saito, H. Takahashi, H. Kaneda, M. Binnie, S. Azad, M. Sato, T. K. Waddell, M. Cypel, M. Liu and S. Keshavjee

      Version of Record online: 24 OCT 2013 | DOI: 10.1111/ajt.12492

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      This study of lung transplant recipients with over 10 years of follow-up demonstrates that elevated IL-6 expression levels in pretransplantation donor lungs are associated with the development of bronchiolitis obliterans syndrome, a conventional form of chronic lung allograft dysfunction.

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      HPV-Related Cancers After Solid Organ Transplantation in the United States (pages 3202–3209)

      M. M. Madeleine, J. L. Finch, C. F. Lynch, M. T. Goodman and E. A. Engels

      Version of Record online: 1 OCT 2013 | DOI: 10.1111/ajt.12472

      The authors define specific features, including recipient characteristics, organ transplanted, specific HLA types, and medications, associated with incidence of human papillomavirus–related cancers of the cervix, anus, penis, vagina, vulva, and oropharynx.

  6. Brief Communications

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Minireview
    6. Original Articles
    7. Brief Communications
    8. Case Reports
    9. Reports From the CDC: MMWR
    10. Images in Transplantation
    11. Letters to the Editor
    1. You have free access to this content
      Comparison of Health Status and Quality of Life of Related Versus Paid Unrelated Living Kidney Donors (pages 3210–3214)

      M. K. Fallahzadeh, L. Jafari, J. Roozbeh, N. Singh, H. Shokouh-Amiri, S. Behzadi, G. A. Rais-Jalali, M. Salehipour, S. A. Malekhosseini and M. M. Sagheb

      Version of Record online: 13 NOV 2013 | DOI: 10.1111/ajt.12488

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      This cross-sectional study of Iranian living kidney donors shows that paid unrelated kidney donors have poor follow-up, lower health-related quality of life, and higher incidence of microalbuminuria postdonation compared with related kidney donors. See editorial by Gordon and Gill on page 3063.

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      Trends in Immune Cell Function Assay and Donor-Specific HLA Antibodies in Kidney Transplantation: A 3-Year Prospective Study (pages 3215–3222)

      I. Libri, E. Gnappi, P. Zanelli, M. Reina, S. Giuliodori, A. Vaglio, A. Palmisano, C. Buzio, G. Riva, P. Barozzi, M. Luppi, P. Cravedi and U. Maggiore

      Version of Record online: 30 OCT 2013 | DOI: 10.1111/ajt.12503

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      In this prospective longitudinal study examining an immune function assay and de novo donor-specific alloantibodies in kidney transplant recipients, the authors find that the immune function assay was not related to the future development of rejection, infection, or donor-specific antibodies, but that the risk of developing donorspecific antibodies was increased in patients who suffered from previous viral infection.

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      Alefacept Promotes Immunosuppression-Free Renal Allograft Survival in Nonhuman Primates via Depletion of Recipient Memory T Cells (pages 3223–3229)

      S. Lee, Y. Yamada, M. Tonsho, S. Boskovic, O. Nadazdin, D. Schoenfeld, K. Cappetta, M. Atif, R.-N. Smith, A. B. Cosimi, G. Benichou and T. Kawai

      Version of Record online: 24 OCT 2013 | DOI: 10.1111/ajt.12500

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      The authors show that alefacept significantly delays the expansion of CD2high memory T cells and promotes mixed chimerism and immunosuppression-free renal allograft survival in a primate model of delayed tolerance induction.

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      Results of Implementation of Preventive Recommendations for Tuberculosis After Renal Transplantation in an Endemic Area (pages 3230–3235)

      A. S. de Lemos, M. A. M. S. Vieira, M. Halpern, R. G. Quaresma, A. C. Borchardt, M. A. A. R. Santos, R. T. Gonçalves and G. Santoro-Lopes

      Version of Record online: 1 OCT 2013 | DOI: 10.1111/ajt.12470

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      The authors report that the implementation of preventive recommendations for tuberculosis in an endemic area allowed appropriate discrimination between high- and low-risk renal transplant recipients and was associated with long-term reduction in the incidence of this complication among high-risk subjects.

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      Attainment of Metabolic Goals in the Integrated UK Islet Transplant Program With Locally Isolated and Transported Preparations (pages 3236–3243)

      A. M. Brooks, N. Walker, A. Aldibbiat, S. Hughes, G. Jones, J. de Havilland, P. Choudhary, G. C. Huang, N. Parrott, N. W. A. McGowan, J. Casey, L. Mumford, P. Barker, K. Burling, R. Hovorka, M. Walker, R. M. Smith, S. Forbes, M. K. Rutter, S. Amiel, M. J. Rosenthal, P. Johnson and J. A. M. Shaw

      Version of Record online: 1 OCT 2013 | DOI: 10.1111/ajt.12469

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      In this report on a cohort of recipients within the UK government–funded fully integrated islet transplant program, the authors demonstrate attainment of metabolic goals with both locally isolated and transported islets with comparable graft survival up to 36 months posttransplant.

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      Rapid Generation of EBV-Specific Cytotoxic T Lymphocytes Resistant to Calcineurin Inhibitors for Adoptive Immunotherapy (pages 3244–3252)

      I. Ricciardelli, J. Brewin, G. Lugthart, S. J. Albon, M. Pule and P. J. Amrolia

      Version of Record online: 8 OCT 2013 | DOI: 10.1111/ajt.12475

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      The authors describe a strategy for the generation of EBV-specific cytotoxic T lymphocytes resistant to calcineurin inhibitors using interferon-gamma capture after peptide stimulation.

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      Early Molecular Diagnosis of Acute Chagas Disease After Transplantation With Organs From Trypanosoma cruzi–Infected Donors (pages 3253–3261)

      C. I. Cura, R. Lattes, C. Nagel, M. J. Gimenez, M. Blanes, E. Calabuig, A. Iranzo, L. A. Barcan, M. Anders and A. G. Schijman

      Version of Record online: 30 OCT 2013 | DOI: 10.1111/ajt.12487

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      Polymerase chain reaction strategies allow for the early diagnosis of acute Chagas disease in naïve recipients transplanted with organs from Trypanosoma cruzi–infected donors. See editorial by Machado on page 3065.

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      Heart Transplantation for Chagas Cardiomyopathy in the United States (pages 3262–3268)

      E. P. Kransdorf, L. S. C. Czer, D. J. Luthringer, J. K. Patel, S. P. Montgomery, A. Velleca, J. Mirocha, P. C. Zakowski, R. Zabner, C. R. Gaultier, Y. Qvarnstrom, T. Benedict, F. Steurer, E. Bosserman, C. D. Paddock, M. Rafiei and J. A. Kobashigawa

      Version of Record online: 28 OCT 2013 | DOI: 10.1111/ajt.12507

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      The authors describe the clinical characteristics, laboratory testing results, and outcomes of 11 patients with Chagas cardiomyopathy who underwent heart transplantation between 2006 and 2012 at a transplant center in the United States.

  7. Case Reports

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Minireview
    6. Original Articles
    7. Brief Communications
    8. Case Reports
    9. Reports From the CDC: MMWR
    10. Images in Transplantation
    11. Letters to the Editor
    1. You have free access to this content
      Totally Laparoscopic Right-Lobe Hepatectomy for Adult Living Donor Liver Transplantation: Useful Strategies to Enhance Safety (pages 3269–3273)

      F. Rotellar, F. Pardo, A. Benito, P. Martí-Cruchaga, G. Zozaya, L. Lopez, F. Hidalgo, B. Sangro and I. Herrero

      Version of Record online: 8 OCT 2013 | DOI: 10.1111/ajt.12471

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      The authors present a totally laparoscopic right hepatectomy for adult living donor liver transplantation, focusing on technical aspects to enhance safety such as hanging maneuver and real-time sequential colangiographic control. A detailed didactic video is available in online supporting information. Also see the case reports section of the September 2013 issue for video of a totally laparoscopic full left hepatectomy.

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      Combined Intestine and Kidney Transplantation in a Patient With Encapsulating Peritoneal Sclerosis: Case Report (pages 3274–3277)

      A. Waghray, A. Nassar, K. Hashimoto, B. Eghtesad, F. Aucejo, V. Krishnamurthi, T. D. Uso, T. Srinivas, E. Steiger, K. Abu-Elmagd and C. Quintini

      Version of Record online: 13 NOV 2013 | DOI: 10.1111/ajt.12505

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      The authors describe a patient with a history of peritoneal dialysis complicated by severe encapsulating peritoneal sclerosis who failed conventional therapy and underwent combined intestinal and kidney transplantation.

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      Successful Lung Transplantation in a Case With Diffuse Pulmonary Arteriovenous Malformations and Hereditary Hemorrhagic Telangiectasia (pages 3278–3281)

      H. Fukushima, T. Mitsuhashi, T. Oto, Y. Sano, K. F. Kusano, K. Goto, M. Okazaki, H. Date, Y. Kojima, H. Yamagishi and T. Takahashi

      Version of Record online: 24 OCT 2013 | DOI: 10.1111/ajt.12499

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      The authors describe a successful lung transplant in a patient with diffuse pulmonary arteriovenous malformations and hereditary hemorrhagic telangiectasia, focusing on its potential to improve cerebral arteriovenous malformations.

  8. Reports From the CDC: MMWR

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Minireview
    6. Original Articles
    7. Brief Communications
    8. Case Reports
    9. Reports From the CDC: MMWR
    10. Images in Transplantation
    11. Letters to the Editor
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      MMWR Update on Seasonal Influenza Vaccines (pages 3282–3283)

      E. A. Blumberg

      Version of Record online: 22 NOV 2013 | DOI: 10.1111/ajt.12571

      This year's influenza vaccine recommendations include the use of a new quadrivalent vaccine as well as the availability of an egg-free recombinant vaccine.

  9. Images in Transplantation

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Minireview
    6. Original Articles
    7. Brief Communications
    8. Case Reports
    9. Reports From the CDC: MMWR
    10. Images in Transplantation
    11. Letters to the Editor
    1. CME

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      Acute Decompensation of Allograft Function in a Kidney Transplant Recipient (pages 3284–3286)

      D. Christopher, J. H. McElmurray III, D. Shaffer and H. M. Schaefer

      Version of Record online: 22 NOV 2013 | DOI: 10.1111/ajt.12422

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  10. Letters to the Editor

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Minireview
    6. Original Articles
    7. Brief Communications
    8. Case Reports
    9. Reports From the CDC: MMWR
    10. Images in Transplantation
    11. Letters to the Editor
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